| NPI | 1972734762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIKISHA WILLIAMS Manager 281-391-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000197) |
| Additional Taxonomies | 208000000X Pediatrics |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP2400X Clinic/Center, Prison Health | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TX 1000197) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 332S00000X Hearing Aid Equipment | |
| 333300000X Emergency Response System Companies | |
| 335G00000X Medical Foods Supplier | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2024-01-10 |